DR. Gordon Ladd Douglass, D.D.S. is a periodontics dentist in Sacramento, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Gordon Ladd Douglass, D.D.S. NPI is 1801010699. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3960 EL CAMINO AVE
SUITE 1
SACRAMENTO, CA
ZIP 95821-534
Phone: (916) 483-4964
Fax: (916) 483-6380
The NPI 1801010699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/8/2007.